FAX OR AIRMAIL ORDER FORM

You can send credit card, checks or INTERNATIONAL money order via US mail. Make checks to: DOFANTASY. Payment MUST be in EURO or US dollars. Fax and Email are credit card only. I hereby certify that I am over 18 years of age and am aware that I am ordering adult material which is not for distribution to minors. I explicitly understand that I am ordering bondage/fetish oriented material and desire to do so. I am not trying to entrap anyone. It is legal for me to order these products.

Signature _{-----------------------------------------------------------------}

ITEM                                     PRICE         

||_{--------------------------------------------------------------------}|| BILL TO (Credit Card Only):

||_{--------------------------------------------------------------------}|| Name_______________________________

||_{--------------------------------------------------------------------}|| Address_____________________________

||_{--------------------------------------------------------------------}|| City___________________State_________

||_{--------------------------------------------------------------------}|| Zip___________ Country_______________

||_{--------------------------------------------------------------------}|| Card #________________________ MC/VISA

||_{--------------------------------------------------------------------}|| Exp Date______ Phone (opt). ___________

||_{--------------------------------------------------------------------}|| SHIP TO (if different):

||_{--------------------------------------------------------------------}|| Address_____________________________

||_{--------------------------------------------------------------------}|| City___________________State_________

||_{--------------------------------------------------------------------}|| Zip___________ Country_______________

Subtotal in euros  ____________

Postage in euros (see below) _{_________________}

TOTAL in euros _____________

Additional comments:
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POSTAGE- SHIPPING COST
Flat rate of 14.95 Euro